Active NPI
Derek M Taylor, D.C.
- Chiropractor
- Palm Beach Gardens, FL
National Provider Identifier
1295807519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13578
- Practice address
- 11382 Prosperity Farms Rd Ste 225
Palm Beach Gardens, FL 33410-3463 - Phone
- (618) 671-0205
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22871 | CA | |
| Chiropractor | 111N00000X | CH13578 | FL | Primary |
Addresses
Primary practice location
11382 Prosperity Farms Rd Ste 225
Palm Beach Gardens, FL 33410-3463
Mailing address
11382 Prosperity Farms Rd Ste 225
Palm Beach Gardens, FL 33410-3463
Phone (618) 671-0205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1295807519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11382 PROSPERITY FARMS RD STE 225",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103463",
"telephone_number": "618-671-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11382 PROSPERITY FARMS RD STE 225",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103463",
"telephone_number": "618-671-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DEREK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2021-12-06",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22871",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.